Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black River Medical Group, LLC

Organization Surgery Physician · NPI 1386998318

Black River Medical Group, LLC provides Surgery Physician services in Poplar Bluff, Missouri. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 Physicians Park Ste 204
Poplar Bluff, MO 63901-3956 Not confirmed with CMS for 13 years — call before visiting
Phone: (573) 785-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1386998318
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack River Community Medical Center
Authorized official Michael Burcham — President & Ceo · (573) 727-9125
Other names Black River Medical Partners
NPI enumeratedOctober 29, 2012
Last updated in NPPESNovember 26, 2012
Mailing address217 Physicians Park Drive, Poplar Bluff, MO 63901-3956

Other providers in Poplar Bluff